CT Acknowledgment (Corporation) 1

STATE OF CONNECTICUT      )

                                                )SS:

COUNTY OF ___________     )

 

 

The foregoing instrument was acknowledged before me this ___day of __________, 20__,

 

by ___(name with title)____________________ of ____(name of corporation)__________, a

 

____(state or place of incorporation)__________corporation, on behalf of the corporation.

 

 

__________________________________

Notary Public/ Commissioner of Superior Court

My Commission Expires:

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